Virtual Colonoscopy: A Practical Guide - download pdf or read online

By Philippe Lefere, Stefàan Gryspeerdt, Albert L. Baert

Virtual colonoscopy, or CT colonography, is a singular and quickly evolving process for the detection of tumoral lesions within the colon. It can provide to be of significant price as a screening device for either colorectal melanoma and its adenomatous precursor. With contributions from numerous leaders within the box, this ebook addresses all of the very important concerns when it comes to digital colonoscopy. there's a specific concentrate on sensible points: how one can commence digital colonoscopy in a division, the standard coaching, the significance of fecal tagging, how you can lessen the guidance, the way to receive optimum colonic distension, and the proper scanning parameters. Imaging features and pitfalls are thought of intimately, with an intensive pictorial assessment of adverse lesions, and the significance of computer-aided analysis is mentioned. This booklet could be valuable to each radiologist looking info on the way to practice the fascinating means of digital colonoscopy.

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Additional resources for Virtual Colonoscopy: A Practical Guide

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Cochrane Database Syst Rev 2:CD000279 O’Brien M, Winawer S, Zauber A et al. (1990) The national polyp study. patient and polyp characteristics associated with high grade dysplasia in colorectal adenomas. Gastroenterology 88:371–379 Ota Y, Matsui T, Ono H et al. (2003) Value of virtual computed tomographic colonography for Crohn’s colitis: comparison with endoscopy and barium enema. Abdom Imaging 28:778–783 Pickhardt P, Choi J, Hwang I et al. (2003) Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults.

Various types of administration sets are available when performing manual insufflation, including a rectal tip attached to tubing and an insufflation bulb or a Foley catheter attached to an insufflation bulb. Preliminary insufflation in this position is suggested, allowing for filling of the rectosigmoid and the descending colon. The patient is then turned to a supine position and insufflation continues to fill the transverse colon and then the right colon. In general it will take 28 J. Yee a a b b Fig.

Radiology 178:609–613 Ginnerup Pedersen B, Christiansen TE, Mortensen FV, Christensen H, Laurberg S (2002) Bowel cleansing methods prior to CT colonography: a prospective, comparative, randomized blinded study. Acta Radiol 43:306–311 J. Yee Goei R, Nix M, Kessels AH, Tentusscher MPM (1995) Use of antispasmodic drugs in double contrast barium enema examination: glucagon or buscopan? Clin Radiol 50:553– 557 Golub RW, Kerner BA, Wise WE, Meesig DM, Hartmann RF, Khanduja KS, Aguilar PS (1995) Colonoscopic bowel preparations -- which one?

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